Useless. We know that nonuse of the affected side exists. CREATE PROTOCOLS THAT SOLVE THAT PROBLEM YOU BLITHERING IDIOTS! There is zero reason or ability to use my left side mainly because my left hand is useless, solve the hand problem and the arm will follow. I'm sure in the succeeding 11 years nothing has been done on this.
Quantifying Nonuse in Chronic Stroke Patients: A Study Into Paretic, Nonparetic, and Bimanual Upper-Limb Use in Daily Life
2012, Archives of Physical Medicine and Rehabilitation
Marian E. Michielsen, MSc
†
, Ruud W. Selles, PhD,
Henk J. Stam, MD, PhD
Gerard M. Ribbers, MD, PhD,
Johannes B. Bussmann, PhD
ABSTRACT.
Objective:
To quantify uni- and bimanual upper-limb use inpatients with chronic stroke in daily life compared with healthy controls.
Design:
Cross-sectional observational study.
Setting:
Outpatient rehabilitation center.
Participants:
Patients with chronic stroke (n=38) and healthy controls (n=18).
Intervention:
Not applicable.
Main Outcome Measures:
Upper-limb use in daily life was measured with an accelerometry-based upper-limb activity monitor, an accelerometer based measurement device. Uni-manual use of the paretic and the nonparetic side and bimanual upper-limb use were measured for a period of 24 hours. Out-comes were expressed in terms of both duration and intensity.
Results:
Patients used their unaffected limb much more than their affected limb (5.3h vs 2.4h), while controls used both limbs a more equal amount of time (5.4h vs 5.1h). Patients used their paretic side less than controls used their nondominant side and their nonparetic side more than controls their dominant side. The intensity with which patients used their paretic side was lower than that with which controls used their nondominant side, while that of the nonparetic side was higher than that of the dominant side of controls. Finally, patients used their paretic side almost exclusively in bimanual activities. During bimanual activities, the intensity with which they used their affected side was much lower than that of the nonaffected side.
Conclusion:
Our data show considerable nonuse of the paretic side, both in duration and in intensity, and both during unimanual and bimanual activities in patients with chronic stroke. Patients do compensate for this with increased use of the nonparetic side.
Key Words:
Ambulatory monitoring; Motor activity; Rehabilitation; Stroke; Upper extremity.©
2012 by the American Congress of Rehabilitation Medicine
Design:
Cross-sectional observational study.
Setting:
Outpatient rehabilitation center.
Participants:
Patients with chronic stroke (n=38) and healthy controls (n=18).
Intervention:
Not applicable.
Main Outcome Measures:
Upper-limb use in daily life was measured with an accelerometry-based upper-limb activity monitor, an accelerometer based measurement device. Uni-manual use of the paretic and the nonparetic side and bimanual upper-limb use were measured for a period of 24 hours. Out-comes were expressed in terms of both duration and intensity.
Results:
Patients used their unaffected limb much more than their affected limb (5.3h vs 2.4h), while controls used both limbs a more equal amount of time (5.4h vs 5.1h). Patients used their paretic side less than controls used their nondominant side and their nonparetic side more than controls their dominant side. The intensity with which patients used their paretic side was lower than that with which controls used their nondominant side, while that of the nonparetic side was higher than that of the dominant side of controls. Finally, patients used their paretic side almost exclusively in bimanual activities. During bimanual activities, the intensity with which they used their affected side was much lower than that of the nonaffected side.
Conclusion:
Our data show considerable nonuse of the paretic side, both in duration and in intensity, and both during unimanual and bimanual activities in patients with chronic stroke. Patients do compensate for this with increased use of the nonparetic side.
Key Words:
Ambulatory monitoring; Motor activity; Rehabilitation; Stroke; Upper extremity.©
2012 by the American Congress of Rehabilitation Medicine
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